Shaun needs to deal with Lea's return and at the same time he pushes back against Melendez in order to treat a gravely ill hospital janitor.
- Ascended Extra: Paul, the janitor who Shaun briefly speaks with in "Sacrifice", is the Patient of the Week.
- Downer Ending: Paul dies from post-surgical complications. His family grieves heavily and blames themselves for telling him to get the surgery. And then there's the final scene with Shaun and Lea...
- Kick the Dog: Shaun explains why he's been avoiding Lea: When she left, it hurt him greatly, and he's afraid that if she stays, then she'll eventually leave again and he'll be hurt again. Shaun then starts yelling at her to go back to Hershey, and they both start crying before Shaun leaves.
- Screw the Rules, I'm Doing What's Right!: A female minor begs for a vaginal rejuvenation after she was mutilated by her family as a little girl. Park exposes her ID as fake, but Lim purposefully ignores it. Her parents find out what is going on and are furious with Lim, but Andrews claps back by calling a CPS social worker. Lim strongly recommends the reconstruction, but the girl tearfully opts for her to remove the entire clitoris instead. Lim goes with the reconstruction anyway, insisting to her team that she consented (which she did not). When the girl wakes up, she realizes what was done and quietly thanks Lim.
